[Plastic reconstruction of the hip joint].
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Late loosening in total-hip-replacement is explained by a foreign body reaction of the connective tissue along the bone-implant interface due to polyethylene debris. In contrast, metal-metal-prostheses, implanted in the sixties, may still today work perfectly without any signs of osteolysis along the bone-cement interface, proving, that metal-metal-pairing is superior to prostheses with polyethylene cups and that cement-anchorage may also be adequate for fixation. A new metal-metal-total hip-joint is presented, that has been implanted from 1988-1990 62 times.
Asymmetric posture of hip-joints is a common disorder in children with cerebral palsy. One hip is found in abduction-outward rotation, the other in adduction-inward rotation. Most of these patients are severely handicapped, with little voluntary control of muscular activity. Possible causes of the disorder are discussed. In treatment long leg plaster casts with diagonal traction are recommended, in milder cases a corrective plaster mould against malrotation can be applied. The technics of both are described.